Doyle McManus commentary: Fighting over Obamacare has only just begun

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Tuesday October 8, 2013 5:45 AM

Ever since Obamacare’s stormy passage in early 2010, Democrats have been waiting anxiously for the program to go into effect and hoping that a dose of reality would calm the partisan battles over the health-insurance plan. Once everything was up and running, they hoped, skeptical Americans would see that Obamacare was a good idea all along — and reward the party that brought it to them.

That’s looking unlikely, at least in the short run. Last week’s glitch-filled rollout of Obamacare’s health-exchange websites, combined with Republicans’ furious refusal to accept the program as what President Barack Obama calls “settled law,” confirmed something political strategists in both parties had already predicted: The war over Obamacare is far from over.

“It’s unlikely that the Affordable Care Act will be widely popular until people have real experience with it — until it becomes the new normal,” a leading Democratic strategist told me. “We’re talking about years, not weeks or months.”

Still, the opening-day problems and the slow pace of applications for health insurance were not encouraging signs.

More important, in the long run, was the Republican Party’s reaffirmation — spurred by Sen. Ted Cruz, R-Texas, and other tea party legislators — that repealing, defunding or dismantling the program remains one of its top goals.

The tea party caucus has succeeded in making resistance to Obamacare a litmus test for Republicans, and as a result, it’s likely that next year’s congressional election will be fought in large part over the program. The fate of Obamacare may hang in the balance.

“The 2014 election will be the Gettysburg of this struggle — the deciding battle, one way or the other,” predicted Robert J. Blendon of Harvard’s School of Public Health.

In the current Congress, the Senate’s Democratic majority has stopped the Republican-led House of Representatives from defunding or delaying Obamacare’s implementation. But if Republicans take control of the Senate next year — a prospect currently rated as a tossup — only Obama’s veto will stand in their way.

And even by Election Day in 2016, Obamacare may still be a work in progress.

“The real problem here is not managerial; many programs take years to roll out,” Blendon said. “The real issue is political. Programs don’t do well if one party doesn’t support it and public opinion isn’t for it.”

As for Obamacare, public opinion has settled into skepticism. A Fox News poll released last week, after the websites’ rollout, found that 54 percent of voters favor repealing all or part of the law, while 41 percent want to preserve or expand it — not much different from earlier findings.

The poll found that only 30 percent of voters want to repeal the entire law — but among Republicans, that number swells to 53 percent, and among tea party supporters, 71 percent. That helps explain GOP legislators’ opposition.

What could change public attitudes? “There could be movement either way, depending on whether people think the program turns out better or worse than they expected,” Blendon said.

Republicans may have a built-in advantage in that debate: They can blame any bad news about health care on Obamacare, whether the program is at fault or not.

But it will also matter what remedy Republicans propose. In last week’s Fox News poll, most voters said they opposed defunding Obamacare — although two-thirds of GOP voters said they supported the idea.

A one-year delay in implementing Obamacare, on the other hand, is a broadly popular idea, supported by 57 percent of all voters, including 80 percent of Republicans.

So don’t expect the war over Obamacare to be over any time soon. Instead, expect Republicans of every stripe to continue their guerrilla campaign against the program through the 2014 congressional election, and perhaps the 2016 presidential election as well.

The president will continue to insist that Obamacare is “settled law.” But a law is only fully settled once both parties accept its permanence, and Obamacare is a long way from there.